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WALGREEN CO.
CHC39465-04 CATHERINE'S HEALTH CENTER
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Covered Entity Details
Entity Name
CATHERINE'S HEALTH CENTER
Subdivision Name
Catherines Health Center Townline
Type
HRSA-Funded Health Center
340B ID
CHC39465-04
Entity Address
100 60th St., SE RM E3 Ste A
Grand Rapids, MI 49548
Grant Number
H80CS39465
Participating Start Date
10/1/2023
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 15007
425 FULLER AVE NE
GRAND RAPIDS, MI 49503
Pharmacy Comments
Contract Details
Approval Date
10/15/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Sara R Brooks, Director of Operations
(616) 336-8800
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/15/2023
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